Abnormal Uterine Bleeding: An Age Based Approach

Abstract

Abnormal uterine bleeding (AUB) is a concern across the female reproductive lifespan. The initial evaluation focuses on identifying the underlying cause, either related or unrelated to structural abnormalities. Treatment options are then matched to the individual needs of the patient, which vary based upon age and reproductive plans. This article addresses common examples of age-specific issues associated with AUB. A case-based approach will discuss the evaluation and management of AUB issues including anovulation, polycystic ovarian syndrome, endometrial hyperplasia, and postmenopausal bleeding on hormone replacement therapy.